Medical Laser Center LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MEDICAL LASER CENTER LLC

Practice address

133 Plaza Dr
Suite 3
Berea, KY 40403-2087

Phone

(859) 986-1370

Fax

(859) 986-1374

NPI assigned

Jul 28, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nawar Soda, MDNPI 1083812598

Title

Owner

Phone

(859) 986-1370

Specialties & licenses 3

Addresses

Other names 1

• Rural Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nawar Soda, MD

  • Family Medicine Physician
  • Berea, KY
  • NPI 1083812598

  Family Medicine, KY

  Medicare reassignment Care Compare group NPD Authorized official
• Mark Otis Catron, PAC

  • Medical Physician Assistant
  • Berea, KY
  • NPI 1811933989

  KY

  Medicare reassignment Care Compare group
• Kristin Morgan, APRN

  • Family Nurse Practitioner
  • Berea, KY
  • NPI 1982144143

  Family, KY

  Medicare reassignment NPD
• Thomas W Fowles, MD

  • Family Medicine Physician
  • Mount Vernon, KY
  • NPI 1285679100

  KY

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1649401563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PLAZA DR",
            "address_2": "SUITE 3",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404032087",
            "telephone_number": "859-986-1370",
            "fax_number": "859-986-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PLAZA DR",
            "address_2": "SUITE 3",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404032087",
            "telephone_number": "859-986-1370",
            "fax_number": "859-986-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL LASER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "SODA",
        "authorized_official_first_name": "NAWAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-986-1370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rural Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie S. McGuire, APRN
• Bryson McKee, PT, DPT
• Devin McMenama
• Jane Mecham, MNS-CCC-SLP
• Med-Save LLC
• Megan Backer Meeks, LCSW
• Melanie Parsons, LLC Dba Community Guides of Kentucky
• Angela Spencer Merritt
• Haley Douglas Kidd Middleton, OTR/L
• Anthony Miller

• All providers in Berea, KY
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.